<p>a 55 year old male Iraqi detainee suffered an Acute Myocardial Infarction (AMI) 2nd to Coronary Arty Disease on March 8, 2004 while in US custody. His past medical history includes hypertension, hypercholesterolemia, and possibly two previous myocardial infarctions.</p>
ST~foR" 509 {REV. 511999 Prescribed bv GSAACtiAR ti:PMR 141CFRl 101-'1..203(b)(10 FOR OFFICIAL EXIllBIT ~ USE ONLY MEDCOM -611 DOD 003674 1 ;' ,.. L ·t-,~· I i ,"" ·····~·:·J;·.··.l:,:;,i;j~~{, I ..t, ' ." .....t.~ I 7 ! -:; ' t -, ' 1. I .' ~!. \. .....i.:"::" .( ! '1' I ...... ! I I \ . .J.-.:::"",~. : I'; .1;.' .".J.. /. ...,. ..", ~ ... .. f ---.. FOR OFFICIAL USEQNIY STANDARD FORM 600 IAEV 697J BACK MEDCOM -612 ...-_ ......---_._------ DOD 003675 CHRONOLOGICAL RECORD OF MEDICAL CARE FOR OFFICIAL E~·~~~:~.6_971 ",!-MA (41~ 201;9.202.\ USE ONLY .3 .. ~;\~-' . ··'~£0A!t'ir;.,j·';;'!i:~'·,",,·,:··;().}:!if!!.~(Hf"lk"i·'""'.'; ji .• ·.·(yy'M,~:\;;i:w,W;t,!jjf~i!Wll!!i\t~~~~~~~...or~m-lIMiR.~~".,; iJu~';_ l~ MEDCOM -613 .... _................._ .. _------ DOD 003676 · ,', ! 5 UIJ \i _ MEDCOM -614 DOD 003677 ~T "fin A1N03sn 1 IflIHXa..--r----r~1VI~J~Id~d~O~}fr()~:-'.--r---r-r--r- DIAGNOSTIC TESTS: GUIAC STOOL-Sept. 2003. negative Mlxl hypercholesterolemia PEAK FLOW-hypertension Hemmoriod surgery (1995) EKG-June 2003 smoker hemmoriods PSA- OTIlER- LABS: - f t,,! T 171. .~.-: I'"(, -f .. 1..-,; '-C.? .:.. ~ .S '- I' ) T 1'/ EXHIBIT ~ USE ONLY II' .. vvv. '1 MEDCOM -616 ...... .--...._------ DOD 003679 tJSE'ON[V . 11-..:::: . -', MEDCOM -617 DO, ~~~~7 2064 ~'::D . 04--c:..\ f)"l....~") . -oc \"1;,-::~ ~j~i, ARMED FORCES INSTITUTE OF PATHOLOGY Office of the Armed Forces Medical Examiner 1413 Research Blvd., Bldg. 102 Rockville, MD 20850 1-800-944-7912 PRELIMINARY AUTOPSY EXAMINATION REPORT Name: fb)(6H Autopsy No.: ME04-110 SSAN: _ AFIP No.: PendingDate of'=B-:-irt--:h:-:-6-=-=D-=E:-::C:-l:-::9:-::4-=-g--------.J Rank: EPOW Date of Incident: g MAR 2004 Place of Death: Baghdad, Iraq Date of Autopsy: 10 MAR 2004 Place of Autopsy: Baghdad Date of Report: 11 MAR 2004 International Airport Circumstances of Death: Circumstances of Death: This 55-year-old male Enemy Prisoner of War had a history of ischemic heart disease. His past medical history includes hypertension, hypercholesterolemia, and possibly two previous myocardial infarctions. His medications included atenolol, Zocar, and aspirin, as well as sublingual nitroglycerin as needed. On the evening of7 MAR 2004 he complained of chest pain and shortness of breath. He was brought to the medical clinic for evaluation where he became unresponsive. Resuscitation efforts, including Advanced Cardiac Life Support at a medical treatment facility, were unsuccessful. Authorization for Autopsy: Armed Forces Medical Examiner, per 10 U.S. Code 1471 Identification: Identification is obtained by paperwork accompanying the body, including a photograph with a matching prisoner number. CAUSE OF DEATH: Atherosclerotic Cardiovascular Disease MANNER OF DEATH: Natural FOR OFFICIAL EXHIBTT IS USE ONLY DOD 003682 These findings are preliminary, and subject to modification pending further investigation and laboratory testing. MEDCOM -619 2 Kb)(6)-4 ME04-110 PRELIMINARY AUTOPSY DIAGNOSES: 1. Atherosclerotic Cardiovascular Disease A. History of ischemic heart disease B. Cardiomegaly, marked (heart weight 620 grams) C. Coronary atherosclerosis, focally severe D. Diffuse myocardial scarring E. Arterionephrosclerosis, mild II. Marked Pulmonary Edema m. Remote penetrating ballistic injury of the left buttock A. Entrance: Inferior-medial aspect of left buttock (scar) B. Wound Path: Skin, subcutaneous tissue, and muscle of left buttock, muscle of proximal left thigh C. Recovered: Metallic foreign body encapsulated in fibrous tissue within muscle of proximal left thigh D. Wound Direction: Left to right, back to front, and downward IV. Fractures of the Slh and 6th ribs on the right, associated with hemorrhage into chest wall musculature and abrasions/thermal injury of the chest (resuscitation efforts) V. Laceration of the nose and abrasion of the right index finger VI. Toxicology Pending f b)(6)-2 I Ll::-------:-~------c::~---.JMD, FS, DMO CDR, MC, USN Chief Deputy Medical Examiner FOR OFFICIAL E){l-IIBIT \ 5 USE ONLY MEDCOM -620 DOD 003683